BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ACCU-CHEK COMFORT CURVE TEST STRIPS

    MDR report key: 1063787 · Received June 19, 2008

    Report

    Report Number
    1823260-2008-04869
    Event Type
    Malfunction
    Date Received
    June 19, 2008
    Date of Event
    June 15, 2008
    Report Date
    June 19, 2008
    Manufacturer
    ROCHE DIAGNOSTICS
    Product Code
    LFR
    PMA / PMN Number
    K010362
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CALLER STATES THE PATIENT TESTED 179MG/DL ON THE INFORM SYSTEM AND 32 MG/DL ON LAB DRAWN WITHIN 10 MINUTES. NO ADVERSE EVENT REPORTED DUE TO THESE RESULTS. REQUESTED RETURN OF SUSPECT SYSTEM, AND REPLACEMENT WAS SENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ACCU-CHEK COMFORT CURVE TEST STRIPS BLOOD GLUCOSE MONITORING TEST STRIPS - LFR LFR ROCHE DIAGNOSTICS 550514

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR